Provider Demographics
NPI:1669923991
Name:RX PROS, INC
Entity type:Organization
Organization Name:RX PROS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HOTARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-812-2305
Mailing Address - Street 1:10374 HIGHWAY 165 N
Mailing Address - Street 2:STE. C
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-3320
Mailing Address - Country:US
Mailing Address - Phone:318-812-2305
Mailing Address - Fax:
Practice Address - Street 1:10374 HIGHWAY 165 N
Practice Address - Street 2:STE. C
Practice Address - City:STERLINGTON
Practice Address - State:LA
Practice Address - Zip Code:71280-3320
Practice Address - Country:US
Practice Address - Phone:318-812-2305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY.007355 IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy